Hernia surgery is the responsibility of Surgical Clinic I for General, Visceral and General Surgery at Friedrichshafen Clinic in Germany. Drs. Thorsten Lehman (head surgeon), Jürgen Kies, Frank Aspacher and Stefan will take care of you in our surgical clinic in Germany close to Lake Constance in Germany.
When is hernia surgery required?
Not all hernias require an operative treatment. At our clinic in Germany, we only recommend hernia surgery in Germany as a treatment option if all other measures (change in lifestyle, medication etc.) have failed to clear up the problem.
What is a hernia?
In some cases, a weak area of tissue allows part of an internal organ or other tissue such as fat to bulge into an area where it does not belong. This is called a hernia.
There are several different types, and in certain cases, they require operative measures:
- This is found on the abdomen, where it bulges through the inguinal canal in both men and women.
- Men are affected more than women because their inguinal canal is wider. It results from a weak spot in the muscle and can be caused by lifting heavy weights, bending and even coughing or laughing.
- Inguinal hernia surgery is a very common type of surgery.
Hiatal (or hiatus) hernia
- It pushes up through the diaphragm into the chest, sometimes causing symptoms like painful acid reflux (a burning sensation in the chest and back of the throat, pain between the shoulders, an unpleasant taste in the mouth)
- A change in lifestyle might help e.g. smaller meals more often, not lying down for 3 hours after meals, avoiding certain foods that aggravate the problem, sleeping with your head higher than the rest of the body, losing weight and avoiding alcohol and smoking
- Some medicines are also effective, e.g. antacids, alginates, H2-receptor antagonists, proton pump inhibitors and prokinetics
- Operative treatment is also possible if other measures are unsuccessful.
- These occur when the contents of the abdomen bulge through the femoral canal. They are uncommon and occur mostly in women due to structure of the pelvis, and seldom in children.
- They are caused by straining e.g. when constipated, carrying or pushing heavy weights, obesity and heavy coughing
- Femoral hernias can lead to complications – obstruction or strangulation of the bowel. An operation is usually performed immediately. Both keyhole surgery and open surgery can be used.
- These occur in both adults and children. In small babies, they are common but they usually close by themselves
- In adults, they are caused by obesity, pregnancy and excess fluid in the belly. Other causes are coughing, straining (constipation or difficulty urinating due to enlarged prostate)
- Strangulation might occur. This stops the blood supply. If the bulge increases in size or if tenderness or pain develop, immediate surgery is needed.
- Umbilical hernia can be repaired by means of surgery.
- Abdominal tissue bulges through the abdominal muscle. It can be painful. The name is derived from the fact that they often occur on the site of an incision made during surgery
- Usually, only a small portion of the abdominal lining protrudes, but sometimes organs are also affected.
- Most incisional hernias develop within 6 months of surgery
- They can be caused by heavy lifting, excessive weight gain after abdominal surgery or pregnancy
- Hernia surgery is an option, but if the hernia is small, a special truss can be worn to keep it from expanding.
There are also other types of hernia, some of which are treated by surgery e.g. ventral, epigastric.
The specialist surgeons of Friedrichshafen Clinic in Germany have a lot of experience with hernia surgery. However, herniation does not always cause symptoms. If you have any questions, please feel free to make an appointment to visit us at our clinic in Germany, so that we can determine the cause of your discomfort.
Hernia surgery is always a last resort if prolonged treatment by conservative methods has not had the desired effect. If you have any questions regarding hernia surgery, feel free to make an appointment with our experienced surgeons at our clinic in Germany.
Hernia surgery procedures at our clinic in Germany are only performed when there is no alternative treatment that has proven effective. The surgery is usually performed laparoscopically.
Laparoscopic nissen fundoplication (LNF) is a common type of surgery for the treatment of GORD and sliding hiatal hernia. During the procedure, the stomach is returned to its correct position and the diaphragm is tightened to prevent the acid from pushing up into the oesophagus. Trust the competent physicians of Surgical Clinic I in Friedrichshafen, Germany.
The friendly employees of the Friedrichshafen Clinic in Germany are standing by to assist you should you have any questions regarding hernia surgery.